Hemorrhagic ascites and pleural effusion | Hind Ennasser
Summary :
Hemorrhagic ascites associated with pleural effusion due to endometriosis is an uncommon presentation rarely reported in the medical literature. We present a case of a 29-year-old woman with a history of primary infertility .She presented to the emergency department for asthenia, abdominal swelling and pain. On examination she was stable with signs of massive ascites and right-sided pleural effusion. This was confirmed on ultrasound scan and computed tomography. A magnetic resonance imaging was performed to define the nature of fluid .It shows an abundant ascites (figure a) and right pleural effusion (figure b) seen as hyperintense signal on T1 weighted sequences due to hematic component. Paracentesis was done reveling a bloody ascetic fluid. She declined a pleurodesis for the pleural effusions. The patient was treated with a GnRH analogues with progressive reduction of pleural effusion This report of case draws attention to this presentation as a complication of endometriosis. This suggests that clinicians should include endometriosis in the differential diagnoses of middle-age women presenting with bloody ascites and pleural effusion in addition to infection and malignancy.
About Author :
Hind Ennasser a resident doctor in the 5th year of residency at Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda Morocco
